Active NPI
Jeremy R Larson, DO
- Psychiatry Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12615241-1204
- Practice address
- 134 N 200 E Ste 302
St George, UT 84770-2899 - Phone
- (435) 288-2880
- Fax
- (435) 522-3290
- NPI assigned
- Jul 5, 2016
- Last updated
- Oct 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12615241-1204 | UT | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 12615241-1204 | UT |
Addresses
Primary practice location
134 N 200 E Ste 302
St George, UT 84770-2899
Mailing address
134 N 200 E Ste 302
St George, UT 84770-2899
Phone (435) 288-2880
Other practice location 1
150 N 200 E Ste 100
St George, UT 84770-2500
Phone (435) 288-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
134 N 200
Suite 302
St George, UT 84770-2899
Phone (435) 288-2880
321 No Mail Dr
BLDG VW 101
St George, UT 84790-5790
Phone (435) 218-6298
321 No Mail Dr BLDG VW
Suite 101
St George, UT 84790-5790
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12615241-1204 | UT | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Success PLLC | Current | Accepting new patients | |
| Center for Couples & Families | Current | Accepting new patients | |
| Larson & Hirschi Psychiatry PLLC | Psychiatry | Current | Accepting new patients |
| Center for Couples & Families | Current | Accepting new patients | |
| Liahona Academy for Youth, LLC | Past | Accepting new patients |
Locations
83 S 2600 W
Ste 103
Hurricane, UT 84737
1173 S 250 W
Ste 208
St George, UT 84770
Phone (435) 632-6900
134 N 200 E
Ste 302
St George, UT 84770
Phone (435) 218-2880
321 N Mall Dr
Ste 101
St George, UT 84790
Phone (702) 281-4307
321 N Mall Dr
Ste VW101
St George, UT 84790
Phone (435) 225-6566
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Foundations Psychiatry
- Psychiatry Physician
- St George, UT
- NPI 1598594079
-
dba Ascend Counseling and Wellness
- Marriage & Family Therapist
- St George, UT
- NPI 1306364302
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St George, UT
- NPI 1023587458
-
dba A Southern Utah Counseling Experience
- Marriage & Family Therapist
- St George, UT
- NPI 1982898094
-
- Psychiatric Residential Treatment Facility
- Hurricane, UT
- NPI 1467622142
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1932551801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 N 200 E STE 302",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702899",
"telephone_number": "435-288-2880",
"fax_number": "435-522-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 N 200 E STE 302",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702899",
"telephone_number": "435-288-2880",
"fax_number": "435-522-3290"
}
],
"practiceLocations": [
{
"address_1": "150 N 200 E Ste 100",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847702500",
"country_code": "US",
"telephone_number": "435-288-2880",
"fax_number": "435-522-3290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "JEREMY",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-05",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "12615241-1204",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "UT",
"license": "12615241-1204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.